2,381 research outputs found

    Perceived Need for Mental Health Services Among Healthcare Workers During the Coronavirus Disease-19 Pandemic in Turkey: A Multicenter Cross-sectional Study

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    Background: The coronavirus disease-2019 pandemic has contributed to work-related psychosocial risks in healthcare workers.Aims: To evaluate the perceived need for mental health services and related factors in Turkish healthcare workers practicing in pandemic hospitals.Study Design: Cross-sectional study.Methods: Data were collected from face-to-face interviews with healthcare workers at 19 pandemic hospitals in 13 provinces between September and November 2021. The study survey included the evaluation of the perceived need for and utilization of mental health services in the previous year, as well as sociodemographic, health-related, and work-related characteristics, the General Health Questionnaire-12, the World Health Organization Quality of Life-BREF (WHOQoL-BREF) questionnaire, and the Fear of coronavirus disease-2019 scale (FCV-19S).Results: Of 1,556 participants, 522 (33.5%) reported a perceived need for mental health services, but only 133 (8.5%) reported receiving these services. Multiple logistic regression analysis of the perceived need for mental health services revealed significant relationships with lower age, female sex, being a current smoker, having a chronic disease, having a mental disorder, coronavirus disease-2019 contact within the last three months in settings other than the home or workplace, a positive coronavirus disease-2019 vaccination history, being a physician, being a non-physician healthcare professional, and coronavirus disease-2019 contact within the last three months at work. After adjustment for these characteristics, higher General Health Questionnaire-12 and FCV-19S scores and lower WHOQoL-BREF domain scores were related to the perceived need for mental health services in logistic regression analyses.Conclusion: The findings indicate a substantial need for mental health services amongst Turkish healthcare workers during the pandemic and outline participants' characteristics regarding high-priority groups for the intervention. Future research may focus on developing actions and evaluating their efficiency

    Comparison of Pain Catastrophic Scale and Anxiety in Patients With Boxer's Fracture and Other Types of Hand Fractures

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    Objective: The Pain Catastrophic Scale (PCS) is generally associated with high and low post-recovery satisfaction and measures the pain perception of patients in the literature. This study aims to evaluate the association of deliberate (as in a fight or anger causing punching a wall) boxer's fractures with catastrophic pain compared to accidental (as in a fall, accidental knocking it against a wall, etc.) fractures and evaluate the effect of anxiety about fracture union and functional recovery on clinical outcomes.Materials and methods: A total of 62 male patients with metacarpal fractures, 31 as a result of deliberate punching (1st group) and 31 with metacarpal fractures as a result of an accident (2nd group), who applied to the emergency department or orthopedic clinic with the diagnosis of metacarpal fracture between January 2021 and October 2022, were included in the study. All patients were selected from patients who were followed up with conservative plaster/splint. The PCS scores of the patients were evaluated comparatively with the clinical results measured after at least six weeks.Results: The mean age of the patients was 30.8 (18-50) in the 1st group and 34.8 (18-64) in the 2nd Group, and no statistically significant difference was found (p=0.274). While the median PCS score was 10.5 (interquartile range {IQR}: 12.3) for the 1st group, the median PCS score was 17.5 (IQR: 14.5) for the 2nd group, and the PCS score was statistically significantly lower in group 1 (p=0.009). While the median Visual Analogue Scale (VAS) value was 0 (IQR: 0.3) for the 1st group, the median VAS value was 1 (IQR: 2.0) for the 2nd group, and the VAS score was statistically significantly lower in the 1st group (p<0.001). While the median 'quick disabilities of the arm, shoulder, and hand' (Q-DASH) value was 0 (IQR:2.3) for the 1st group, the median Q-DASH value was 3.4 (IQR:6.3) for the 2nd group, and the Q-DASH score was statistically significantly lower in the 1st group (p=0.001). No significant difference was observed between the 1st and 2nd groups in terms of grip strength values (p=0.815). Conclusion: The etiology of patients presenting with a boxer's fracture should be well understood, and if necessary, these patients should be treated multidisciplinary, with psychiatric help. Better satisfaction can be achieved with lower results in patients whose PCS scoring system has lost its eigenvalue

    Comparison of kinesio taping, trigger point injection, and neural therapy in the treatment of acute myofascial pain syndrome: A randomized controlled study

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    Objectives: Myofascial pain syndrome (MPS) is a regional painful soft-tissue disorder, characterized by trigger points (TrPs) and taut bands in the muscles. In this study, we aimed to compare the effectiveness of kinesio taping (KT), TrPs injection, and neural therapy (NT) on pain and disability in acute MPS.Methods: 104 patients with MPS in the cervical region were allocated into three groups. Group 1 (n=35) were treated with KT, Group 2 (n=35) received local anesthetic (LA) (lidocaine of 0.5%) TrPs injection, and Group 3 (n=34) received NT with the same LA solution. Patients were assessed by means of pain, pressure pain threshold (PPT), and disability. Pain severity was measured by Visual Analog Scale. The neck pain disability scale was used for assessing disability. PPT was measured by using an algometer. Measurements were taken before and after treatment of 3(rd) and 7(th) days.Results: There were improvements on pain and disability in all groups at the end of treatments at 3(rd) day and during follow-up period (p<0.001) and no differences were found between the groups. There was significant difference in PPT values in TrPs injection and NT groups in comparisons between all time periods, however, the change, depending on time in the KT group, was not statistically significant.Conclusion: The results of this study show that all these three treatment methods found to be effective on pain relief and disability in acute MPS. In terms of PPT, injection treatments seem to be superior than KT

    Molecular characterisation of colistin and carbapenem-resistant clinical isolates of Acinetobacter baumannii from Southeast Europe

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    Objectives: To characterise 11 colistin-and carbapenem-resistant Acinetobacter baumannii isolates recently emerging in hospital settings.Methods: A. baumannii isolates were collected from hospitalised patients under colistin treatment in three countries of Southeast Europe: Turkey, Croatia, and Bosnia and Herzegovina. Isolates were identified using molecular methods.Results: Isolates from Turkey and Croatia belong to the sequence types ST195 or ST281 of the clone lineage 2, while the single isolate from Bosnia and Herzegovina belongs to the ST231 of clone lineage 1. All isolates turned out to be highly resistant to colistin (MIC >= 16 mg/L) and have point mutations in pmrCAB operon genes. The colistin-resistant isolate from Bosnia and Herzegovina had a unique P170L point mutation in the pmrB gene and the R125H point mutation in the pmrC gene. The L20S mutation in the pmrA gene was detected only in isolates from Croatia and has never been reported before in isolates from this country.Conclusion: Colistin resistance in A. baumannii in hospitalised patients receiving colistin treatment is a result of chromosomal mutations. The pattern of point mutations in pmrCAB genes suggests a spread of specific colistin-resistant isolates within the hospital.(c) 2023 The Author(s). Published by Elsevier Ltd on behalf of International Society for Antimicrobial Chemotherapy.This is an open access article under the CC BY-NC-ND license( http://creativecommons.org/licenses/by-nc-nd/4.0/

    Association between vascular calcification, atherosclerosis and inflammatory markers in end-stage renal disease patient and simple method for detecting vascular calcification (direct radiography)

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    Purpose: In our study, we planned to investigate the relationship of malnutrition with inflammation, atherosclerosis and calcification in dialysis patients. Materials and methods: 140 Chronic kidney disease (CKD) patients and 44 healthy controls were included in the study. Carotid artery intima-media thickness (CIMT) was measured by doppler ultrasonography. Valvular calcification was assessed by echocardiography and vascular calcification scores (VCS) were done based on the radiograms. Biochemical parameters were assessed using routine laboratory methods. Subjective global assessment (SGA) was used to evaluate malnutrition. Results: In the study, VCS showed no differences between hemodialysis (HD) and peritoneal dialysis (PD) patients (1.84±2.35 for HD, 1.77±1.64 for PD; p=0.83). CIMT, Osteopontin (OPN), interleukin-6 (IL-6) and homocysteine were significantly different in both dialysis groups compared to healthy controls. The Mean carotid intima-media thickness (m-CIMT) was higher in HD patients compared to PD group. CIMT, vascular calcification and SGA scores showed positive correlation with age, dialysis duration and valvular calcification grades, and negative correlation with albumin levels. A positive correlation between SGA scores and high-sensitive C-reactive protein (hs-CRP) levels was also noted. On multiple regression analysis, m-CIMT was independently associated with age, VCS and albumin levels. VCS was found to be independently associated with only albumin levels. Conclusion: Vascular and valvular calcification, an indicator of cardiovascular mortality and morbidity in dialysis patients, was found to be significantly associated with malnutrition. We found higher rates of valvular calcification in patients with vascular calcification. Malnutrition was more prominent in these patients

    A Case of Multiple Sclerosis Presenting with Thoracic Lhermitte’s Sign

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    Lhermitte’s sign (LS) is a transient symptom consisting of an electric shock-like sensation radiating ascending along the spinal cord during forward flexion of the neck. It may be associated with sensory complaints such as hypo or hyperesthesia. Although it ismore common in cervical lesions, it can also be seen less frequently in thoracic lesions. LS is classified as one of the paroxysmal pain syndromes of multiple scle- rosis (MS). It can also be seen in cervical spondylosis, disc herniation, trauma, spinal cord malignancies, vitamin B12 deficie ncy, cisplatin tox- icity and radiation myelotoxicity. In cases of thoracic myelitis, LS should be considered and confirmed by neuroradiological an d neurophysiological examinations. In this article, we aimed to present a case of MS with Lhermitte sign due to a lesion in the thoracic spinal cord, as a rare but possible example of spinal cord pathology in the thoracic region

    THE IMPACT OF CONTACT LENS DURATION ON OCULAR DISCOMFORT

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    Objectives: To compare contact lens discomfort (CLD) using the Contact Lens Dry Eye Questionnaire-8 (CLDEQ8) in short and long-term CL wearers. Materials and Methods: This prospective study included 98 patients who applied to the Department of Ophthalmology of Ufuk University between January 2020 and January 2021 and had a history of wearing contact lenses for over a month. Participants who wore contact lenses (CL) for six months or less were categorized as short-term CL users, while those who wore them for more than six months were categorized as long-term CL users. Contact lens compliance and the CLDEQ-8 questionnaire results were compared between the groups. Results: The mean age was 21.70±2.81 years in 55 short-term CL wearers, and 80% were female. In 43 long-term CL wearers, the mean age was 28.69±8.48 years, and 86% were female (respectively, p<0.001, p=0.592). The duration of CL wear was 2.36±1.06 months in short-term CL wearers and 10.11±5.6 months in long-term CL wearers (p<0.001). The mean CLDEQ-8 score was 11.52±6.59 in short-term CL wearers and 14.37±6.55 in long-term CL wearers (p=0.015). In addition, 40% of short-term and 65.1% of long-term users had a CLDEQ-8 score greater than 12 (p=0.016). Conclusion: Long-term CL wearers experienced much more CLD, and several considered removing their lenses at various times. Contact lens discomfort has to be investigated, especially in long-term CL users, and solutions should be developed to avoid CL dropout. © Annals of Translational Medicine. All rights reserved

    The Effect of Newly Onset Renal Impairment on the Mortality Rates of the Patients Undergoing Endovascular Aortic Repair

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    Abstract Background: Visceral organ blood circulation is seriously impaired in aortic pathologies especially aortic dissection involving descending thoracic and abdominal aorta. Herein, we aimed to determine the effect of the newly onset renal function impairment on postoperative mortality rates of the patients undergoing EVAR and TEVAR procedures. Methods: Patients who underwent an EVAR / TEVAR procedure in our clinic included in this retrospective study. Patients were divided into two groups according to the presence of renal function impairment. Mortality rates were calculated for the groups. Results: A total of 60 patients who underwent an EVAR/TEVAR procedure between November 2016 and May 2021 included in this study. Group 1 included a number of 48 (80%) patients without postoperative renal dysfunction. Group 2 included a total of 12 (20%) patients with postoperative renal function impairment. The initial analysis of the data revealed significant differences in the age and sex variables of the groups (P=0.038 and P=0.008 respectively). Then propensity score matching was performed to avoid bias in the groups. After propensity score matching Group 1 included 12 (50%) patients without postoperative renal impairment and Group 2 included 12 (50%) patients with postoperative renal dysfunction. There were no significant differences between the groups after propensity matching. Mortality rate was significantly different between the groups which was 1 patient (8.33%) in Group 1 vs 6 (50.00%) patients in Group 2 (P=0.020). Conclusions: Renal functions after EVAR/TEVAR procedures should be carefully monitored because renal impairment is closely related with postoperative mortality. We suggest that more studies with larger patient numbers should be conducted on the relation of renal functions and mortality after regularly performed EVAR/TEVAR procedures

    Menorajisi Olan Hastalarda Farklı Histopatolojik Tanılarda Levonorgestrel Salan Rahim İçi Aracın Uzun Süreli Terapötik Etkinliği

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    Menoraji, üreme çağındaki kadınların yaşam kalitesini ciddi oranda etkiler ve genellikle altta yatan bir pelvik patoloji yoktur. Menorajide birçok medikal te- davinin etkinliği kesin değildir ve hasta uyumu zayıf olabilir. Levonorgestrel salgılayan rahim içi araç (LNG-RİA) menoraji tedavisinde cerrahi tedavilere iyi bir al- ternatiftir. Bu çalışmanın amacı menorajisi olan hastalarda farklı histopatolojik tanılarda LNG-RİA’nın uzun süreli terapötik etkinliğini değerlendirmektir. Gereç ve Yöntemler: Ufuk Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniği’nde 2017-2019 arasında menoraji tanısı konmuş ve tedavi amaçlı LNG-RİA uy- gulanmış 135 hastanın verileri retrospektif olarak tarandı. Hastaların LNG-RİA takılmadan önce yapılan endometrial biyopsilerinin histopatolojik tanıları, LNG-RİA öncesi ve sonrası adet düzeni ve hemogram bulguları ile hasta memnuniyet oranları değerlendirildi. Bulgular: Çalışmaya dahil edilen 135 hastadan 98’ine (72.5%) LNG-IUD takılmadan önce endometrial biyopsi yapılmıştı, kalan 37 olgu (%27,4) ise myoma uteri (tip 0, 1 ve 2 dışında) ve adenomiyozis gibi farklı tanılara sahipti. Endometriyal hiperplazi tanısı konan hastaların 3 ay sonraki kontrol biyopsilerinde endometrial hiperplazinin gerilediği görüldü. LNG-RİA takıldıktan sonraki 1.yılda hastaların menstrüasyon süresinde istatistiksel açıdan anlamlı azalma (11.32±5.12 vs 4.21±2.34, p:0.027), siklus süresinde istatistiksel açıdan anlamlı artış (21.45±6.13 vs 33.14±5.27, p: 0.041) ve hemoglobin düzeyinde artış izlendi. Histopatolojik tanısı endometrial polip olarak saptanan 19 hastada birinci yılın sonunda polip rekür- rensi görülmedi. Birinci yıl sonunda hastaların memnuniyet oranları yüksekti. Sonuç: Menorajili hastalarda LNG-RİA etkili bir tedavi yöntemidir. Hastalardaki semp- tomatik iyileşmenin yanı sıra, tedavinin tolere edilebilirliği yüksektir ve yüksek memnuniyet oranlarıyla ilişkilidir. Konuyla ilgili daha geniş örneklem büyüklüğüne sahip, uzun dönem hasta takibi yapılan prospektif çalışmalara ihtiyaç vardır

    The Role of Ischemia-modified Albumin and Ischemia-Modified Albumin to Albumin Ratios in Patients with Alopecia Areata

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    Introduction: Objective: To investigate the role of ischemia-modified albumin (IMA) and IMA/albumin levels in patients with AA. Methods: The present prospective crossectional study includes patients & GE;18 who were admitted to the Dermatology and Venerology Department of Hitit University Hospital between April 1, 2021, and September 30, 2021. 70 patients participated in the study (n=34 for the study group and n=36 for the control group). Demographic features, clinical characteristics, IMA, and IMA/albumin levels were compared between the groups. The study group was divided into subgroups based on the number of patches, disease duration, and the number of disease attacks. IMA and IMA/albumin levels were compared between each subgroup. Results: The study and control groups were similar with regard to demographic features and clinical characteristics. Significant differences were observed between the mean IMA and IMA/albumin ratio (p=0.004 and 0.012, respectively). The study subgroups were comparable in the number of patches, disease duration, and number of disease attacks. Conclusion: Although oxidative stress is an important component in the etiology of AA, IMA and IMA/albumin may not be useful in the prediction of disease severity in patients with AA
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